{
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"FirstLineMailingAddress": "8419 CARTMAN DR",
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"MailingAddressPostalCode": "28314-8419",
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"FirstLinePracticeLocationAddress": "8383 CLIFFDALE RD.",
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"PracticeLocationAddressFaxNumber": "910-717-6127",
"EnumerationDate": "02/07/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "EALY",
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"Taxonomies": {
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"TaxonomyName": "Community/Behavioral Health Agency",
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}
},
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}
}